1139 Farmington Rd . -_ -i=�.y -^ ...,-r•�-..i. P.,'"�.,�,..`^r"Mew?�'^ra*^yiHd''.s"'wrrci+.+^�'"_'V""�^n""'�"„J'--.w-.,..--va.�-«-•ri:r-"-"r*v^"wv's-w� -^w'""�.--: -^yy-..
9 Ks�
DAVIE COUNTY HEALTH DEPARTMENT.
IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION
*NOTE:Issued in Compliance With Article 11 of G.S.Chapter 130a
se�ge yste - Permit +Number
NameAjniary
f // S �oi GlyND 6901
Location C�' �✓ �l� Ae,l/ ��✓ �.
Subdivision Name �Lot:N�o. Sec. or Block No.
.-,Lot'Size_�to House s Mobile Home Business Speculation
No. Bedrooms No. Baths No. in Family _
Garbage Disposal YES ❑ NO ❑ SQecg ations for. System:
Auto Dish Washer YES ❑ N0; ❑ �1-
Auto Wash Ma.hine YES ❑ NO ❑
Type Water Supply
*This permit Void if sewage system described below is not installed within 5 years from date of issue.
This permit is subject to revocation if site plans or the intended use change.
. r
Improvements rmit b — �
pe y _
*Contact a representative of the Davie County Health Department for final inspection of this system between 8:30-
9:30 A.M. or 1:00-1:30 P.M. on day of completion. Telephone Number 704-634-5985.
Final Installation Diagram: System Installed by ,�� �h–
O U SQ
U`N
iso d `
Certificate of CompletionI ,q 2
Date
'The signing of this certificate shall indicate that the system described above has been installed in compliance with .
the standards set forth in the above regulation, but shall in NO way be as a guarantee that the system will function
satisfactorily for any given period of time.
XO
'DAVIE--COUNTY HEALTH DEPARTMENT
IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION
*NOTE:Issued in Compliance With Article I I of G.S.Chapter 130a
pan'tary Se ge systems _ Permit Number
_ _
Name 3 JO P/'/ a' � o� �<;�'Alf Z_,7A /Date_��/�'� `\~� N2 6901
�
Location / 9t/r�' lN.r'�1j��1 �p�/ • � ilt�T.;✓� ', l� \—
Subdivision Name Lot N 7�Sec. or Block No.
Lot SizeHousey Mobile Home —T Business -- Speculation
NQ.";Bedrooms No. Baths f No. in Family
Garbage Disposal YES ❑ NO ❑ SrOations for 9ptgm:
_Auto Dish Washer YES ❑ NO ❑
Auto Wash Ma^hine YES ❑ NO ❑ � ���
Type Water Supply __—
*This permit Void if sewage system described below is not installed within 5 years from date of issue.
"This permit is subject to revocation if site plans or the intended use change.
�.
i
f*.
j
Improvements permit,by
'Contact a representative of the Davie County Health Department for final inspection of this system between 8:30-
9:30 A.M. or 1:00-1:30 P.M. on day of completion. Telephone Number 704-634-5985.
Final Installation Diagram: , System Installed by
S Ilk,
0
ip w
Certificate'of Completion' Date ' d c) -9 �-
"The signing of this certificate shall indicate that the system described above has been installed in compliance with
the standards set forth in the above regulation,-but shall in NO way betaken as a guarantee that the system will function
satisfactorily,for any given period of time.